Smith, Katherine Joan
Smith, Katherine Joan is an individual health care provider with primary practice located at 60 W Gore St , Orlando FL 32806-1141. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Smith, Katherine Joan can be contacted via phone (407) 423-1039.Contact Information
Primary practice address
60 W Gore St
Orlando FL 32806-1141
Phone: (407) 423-1039
Fax: (407) 425-2347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP2701012 | Florida |
Profile Details
| NPI number | 1811978026 |
|---|---|
| LBN Legal business name | Smith, Katherine Joan |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jun 30th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811978026 | NPPES |
| Florida | MEDICAID | 306617700 |
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